HomeMy WebLinkAboutPermit Permanent Sign SN-12-32 - KEY BANK;)
Permit Number SN_
City of South Burlington, Vermont
Application for Pernlanent Sign Permit
1) OWNER OF RECORD (Name as shoyv n on deed, mailing address, one and fax #)
n�" �xs • otho V ern• &nj- Bo (S CS ' c.4o
bOA i A T- C640 : $ G 3.1311 F. $63 - 231 A
2) APPLICANT (Name, mailing address, phone and fax #) (CL r•-, e,
3) SIGN LOCATION (include business name addre s & phone #):
1'1 �t 5 Wi I (isia n ,12ead—P.r�.� �lr►,�
4) TAX PARCEL ID # (can be obtained at Assessor's Office) VR 1 O • O ( -1 i,.
5) SIGN ERECTOR (Name, mailing address, phone and fax ft
filer h i - ;29 >` rs_ &rt
C'SyMA-k Bawl
V`l' as o 3
7) DATE OF ERECTION F fo5 g' 6 3 5 7
8) SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, & type
FREE-STANDING SIGN
such as panel or cut-out letter
1. W ' 'Iinl I d-e IZ s - u- pQ�^
SIZE (in sq. ft.):
L w& caw - 4lw x x 5" ► " L
2. ' .4 I (0 sF
OVERALL HEIGHT:
SIGNABLEE AREA (in sq. ft.):
TYPE OF ILLUMINATION:
(WpALL
N u i r.: A scaled rendering of each proposed sign must be submitted illustrating the color of" the sign and
noting the dimensions of each sign.
9) DATE OF DESIGN REVIEW APPROVAL (if applicable): _
Inve,&f ,% �' o fxm�
10) Applicant Signature: : (,�,�� ►W, Date: (y- 20. 12
Invee Grp�asio0 Jerme,i
11) Signature of Land/Building Owner: �, Date:
Do not write below this line
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Fee: Ap 'ca 'on: R ' cted
Code Officer Signature: Date: /`' /
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